DAIC

MAY 8, 2024

5 Revascularization to improve blood flow to the heart has been shown to reduce mortality in stable chest pain patients. 5 Revascularization to improve blood flow to the heart has been shown to reduce mortality in stable chest pain patients. 2024, [link]. Journal of Vascular Surgery, Mar.

Coronary Artery Disease 111

Coronary Artery Disease Chest Pain Ischemia Myocardial Infarction 111

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). Mechanical complications secondary to myocardial infarction are infrequent due to most patients receiving revascularization quite rapidly.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

This confirms that the pain was ischemia and is now resovled. Thus, it has recently become generally accepted that most plaque ruptures resulting in myocardial infarction occur in plaques that narrow the lumen diameter by 40% of the arterial cross section may be involved by plaque. The i nitial hs troponin I returned 75%.

Ischemia 121

Ischemia Plaque Stenosis Myocardial Infarction 121

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

He reports significant chest pain at the base of his scapula on the right side along with new shortness of breath. Timing of revascularization in patients with transient ST segment elevation myocardial infarction: a randomized clinical trial. See these casese (and I have many others): First ED ECG is Wellens' (pain free).

Chest Pain 115

Chest Pain Myocardial Infarction STEMI Pericarditis 115

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Int J Cardiol 2024 3. Eur Heart J Digital Health 2024 5. Lupu et al. Clin Cardiol 2022 4.

STEMI 121

STEMI Chest Pain Myocardial Infarction Blog 121

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4134796-A4134796, November 12, 2024. Introduction:Over 6 million patients (pts) present to US emergency departments annually with chest pain (CP), of which the majority are found to have no serious disease. Length of stay (LOS) in the CPU to discharge was 10.4

Chest Pain 40

Chest Pain ACE Inhibitor Cardiac Function Coronary Artery Disease 40

DAIC

MAY 14, 2024

The impact of this narrowing can ultimately result in angina (chest pain), which has been shown to double the risk of major cardiovascular events,1 as well as myocardial infarction ( heart attack ) or even death. Accessed May 2024. For more information: www.gehealthcare.com References: 1 World Health Federation.

Coronary Artery Disease 111

Coronary Artery Disease Interventional Cardiology Innovation Physiology 111

DAIC

FEBRUARY 29, 2024

Image courtesy: ACC christine.book Thu, 02/29/2024 - 11:22 February 29, 2024 — The American College of Cardiology ( ACC ) will soon be holding its ACC 73rd Annual Scientific Session & Expo , ACC.24 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

DAIC

JANUARY 25, 2024

Getty Images milla1cf Thu, 01/25/2024 - 20:44 January 25, 2024 — Agepha Pharma , a leading multinational pharmaceutical company with the first FDA-approved anti-inflammatory cardiovascular treatment ( LODOCO – colchicine, 0.5 More than 8 million Americans visit hospital emergency departments experiencing chest pain every year.

Heart Attack 110

Heart Attack Heart attacks Technology Cardiovascular Disease 110

DAIC

OCTOBER 15, 2024

tim.hodson Tue, 10/15/2024 - 12:12 Oct. 15, 2024 – Elucid has announced that four of the seven Medicare Administrative Contractors (MACs) will extend coverage for AI-enabled quantitative coronary plaque analysis, including its FDA-cleared PlaqueIQ image analysis software, beginning Nov.

Plaque 52

Plaque Medicare Chest Pain Coronary Artery Disease 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest. Troponin was ordered. Eur J Emerg Med.

Chest Pain 82

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 82

Dr. Smith's ECG Blog

NOVEMBER 5, 2023

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. On the day of presentation she complained of typical chest pain, and stated it feels like prior MI. She's had multiple PCI procedures.

Chest Pain 111

Chest Pain Pacemaker Ischemia Stents 111

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024. Case presentation:A 64-year-old man presented with one day of chest pain. TTE showed a reduced EF with multiple segmental abnormalities concerning for myocardial infarction. Electrocardiogram (EKG) was unremarkable.

Myocardial Infarction 40

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain 40

The British Journal of Cardiology

JUNE 11, 2024

Additionally, 2D transthoracic echocardiography (TTE), and myocardial injury serum biomarkers assays (creatine phosphokinase-MB [CPK-MB] and cardiac troponins [cTn]) were measured once. The most common symptom was left hemithorax and interscapular pain (317 patients, 46%).

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

Dr. Smith's ECG Blog

OCTOBER 22, 2024

He reported typical chest pain since 4H AM and arrived at our ED at 10h with ongoing chest pain. You must record frequent serial ECGs for patients with chest pain. Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients.

Chest Pain 66

Chest Pain STEMI Myocardial Infarction Angioplasty 66

All About Cardiovascular System and Disorders

FEBRUARY 24, 2024

Sometimes arrhythmogenic cardiomyopathy patients can present with acute chest pain and elevation of myocardial enzymes and has been called as ‘hot phase’ These require differentiation from acute myocardial infarction and have normal coronary arteries [3]. 2024 Feb 27;83(8):797-807. 2023.12.015.

Cardiomyopathy 52

Cardiomyopathy Chest Pain Arrhythmia Heart Transplant 52

Dr. Smith's ECG Blog

OCTOBER 12, 2024

Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization. PMID: 27658331. == MY Comment , by K EN G RAUER, MD ( 10/6 /2024 ): == I found today’s 2 ECGs remarkable for a number interesting findings — including the reasons why I thought acute OMI unlikely. Lee DH, Walsh B, Smith SW.

STEMI 115

STEMI Document Blog Ischemia 115

DAIC

APRIL 8, 2024

What we see today is more myocardial infarctions that are smaller and that do not damage the heart muscle to the same extent.” Over a median follow-up period of 3.5 There were also no differences in safety endpoints such as stroke, abnormally low blood pressure or fainting.

Heart Attack 52

Heart Attack Heart attacks Heart Failure Myocardial Infarction 52

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4119169-A4119169, November 12, 2024. She was diagnosed with NSTEMI with a thrombolysis in myocardial infarction (TIMI) score of 5. PCI has become a common treatment of chronic total occlusion, and techniques continue to be developed to tackle more challenging cases.

Coronary Artery Disease 40

Coronary Artery Disease Chest Pain Myocardial Infarction Thrombolysis 40

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

A 55 year old with no previous cardiac history presented with 3 hours of chest pain. The pain was persistent and reportedly still present at the time of the ECG. Translation from French: Acute Occlusion Myocardial Infarction with High Confidence. He has now implemented the Queen of Hearts in his hospital.

Hospital 85

Hospital STEMI Blog Chest Pain 85

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4140337-A4140337, November 12, 2024. The confirmation cohort, which was obtained from the National Institute of Health, consisted of 3315 patients with normal Bruce protocol treadmill stress test results in the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE) Trial.

Exercise 40

Exercise Chest Pain Myocardial Infarction Bradycardia 40

Dr. Smith's ECG Blog

JULY 11, 2024

Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain that started after consuming a meal. He described the pain as a “crushing and discomforting” feeling with no radiation.

Outcomes 112

Outcomes Stenosis Outpatient Echocardiogram 112

Dr. Smith's ECG Blog

JANUARY 5, 2024

So there is probability of myocardial injury here (and because it is in the correct clinical setting, then myocardial infarction.) The patient said his chest pain was 4/10, down from 8/10 on presentation. HsTnI drawn at that time was 9 ng/L (ref. 80%) and definitely too much for hour to hour.

Angina 120

Angina Plaque Document Stents 120

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. Written By Magnus Nossen — with edits by Ken Grauer and Smith. The below ECG was recorded.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

JULY 19, 2024

Written by Pendell Meyers, with edits by Smith A man in his 80s presented with acute chest pain and normal vital signs. We need more such ECGs for training but we are constantly working on the algorithm and one day it will make this diagnosis. == But isn't ongoing chest pain in NSTEMI a guideline indication for emergent angiography?

Chest Pain 115

Chest Pain Myocardial Infarction Pacemaker STEMI 115

Dr. Smith's ECG Blog

JANUARY 17, 2024

Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Hyperacute T waves can be a useful sign of occlusion myocardial infarction if appropriately defined. Acad Emerg Med 2023 3. Smith, Meyers. Ann Emerg Med 2023 4. Meyers, Bracey et al.

Chest Pain 118

Chest Pain STEMI Myocardial Infarction Blog 118

Dr. Smith's ECG Blog

OCTOBER 30, 2024

All of the patients contacted EMS due to acute onset chest pain. The above ECG is from a 70 something male with chest pain. ECG #2 Case 2 : The above ECG was obtained from a diabetic 45 year old smoker with chest pain. He arrived in our ED with the below ECG pain free. Which of the ECGs represent OMI?

Chest Pain 111

Chest Pain Aortic Myocardial Infarction STEMI 111

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Scenario 1 : The patient presents with 24 hours of substernal chest pain. It could also, given a different clinical context be compatible with a subacute myocardial infarction complicated by post infarct regional pericarditis. Most common cause) 2 ) Post infarct regional pericarditis. What do you think?

Chest Pain 89

Chest Pain Pericarditis Myocardial Infarction Dementia 89

Dr. Smith's ECG Blog

DECEMBER 16, 2024

Case 1: 20-something woman with chest pain Case 2: 50-something man with chest pain Case 1 A 20-something yo woman presented in the middle of the night with severe crushing chest pain. History Patient complains of a 24-hours of chest pain of sudden onset, sharp in nature. Denies SOB.

Chest Pain 105

Chest Pain STEMI Aortic Ultrasound 105

Dr. Smith's ECG Blog

NOVEMBER 8, 2024

Written by Magnus Nossen The below ECG was obtained from a 65 year old man with ongoing chest pain. The below ECG was obtained 45 minutes after the first one with the patient being free of chest pain at the time of recording of ECG #2. He remained chest pain free and underwent coronary angiography the following day.

Chest Pain 101

Chest Pain Myocardial Infarction Hypertension Hospital 101

Dr. Smith's ECG Blog

JANUARY 31, 2025

The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. of patients with anterior myocardial infarction ( 1 ). Tall precordial T waves with depressed ST take-off: an early sign of acute myocardial infarction?

STEMI 113

STEMI Chest Pain Myocardial Infarction Ischemia 113

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. Let's see how the PMCardio Queen of Hearts AI Model performs: "Acute Occlusive Myocardial Infarction" She gave this a score of 1.0 (100% History of diabetes type II and stent placement in 2018. What do you think?

Academic 126

Academic Stents Stent Thrombosis 126

Dr. Smith's ECG Blog

DECEMBER 6, 2024

A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Are the T-waves in leads I and II hyperacute? Hard to tell. How can we know? By the evolution of the ECG! Watch what happends as the heart recovers from its episode of ischemia.

Coronary Artery Bypass Graft 107

Coronary Artery Bypass Graft Ischemia Chest Pain Stenosis 107

Dr. Smith's ECG Blog

JANUARY 21, 2025

He denied chest pain. It is correct that he did not have chest pain, but we must remember that fully 1/3 of full blown STEMI do not present with chest pain. They made a final diagnosis of type II myocardial infarction. Bedside POCUS showed very poor LV function and a few pulmonary B lines.

Chest Pain 61

Chest Pain STEMI Tachycardia Myocardial Infarction 61

DAIC

OCTOBER 30, 2024

tim.hodson Wed, 10/30/2024 - 11:23 Oct. 27, 2024 — HeartFlow, Inc. The data show the HeartFlow platform provides clinicians with the insights needed to anticipate and mitigate adverse events, including myocardial infarctions, in symptomatic patients with stable chest pain.

Plaque 52

Plaque Outcomes Coronary Artery Disease Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2024

1) Very high initial troponin of 45,000 ng/L 2) A full day of chest pain 3) Q-waves on the ECG, with some T-wave inversion Here is one frame of the CT scan which includes the heart: Can you spot the infarct? The November 8, 2024 post — artifact complicating OMI assessment. This is then a large MI, but it is subacute.

Blog 63

Blog Chest Pain Myocardial Infarction Critical Care 63

Open Heart

DECEMBER 2, 2024

Methods This cross-sectional study included 585 consecutive Chinese patients (age ≥18 year) who presented to an emergency department with chest pain (lasting >5 min) and were managed following the chest pain protocol between 1 August 2023 and 12 June 2024.

Chest Pain 98

Chest Pain Laboratory Myocardial Infarction Outcomes 98